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经肛门直肠灌洗在低位前切除综合征治疗中的应用:服务质量审计。

Using transanal irrigation in the management of low anterior resection syndrome: a service audit.

机构信息

Bowel Dysfunction Specialist Nurse, Durham Bowel Dysfunction Service, County Durham and Darlington NHS Foundation Trust.

Academic Clinical Nurse Specialist, Durham Bowel Dysfunction Service, County Durham and Darlington NHS Foundation Trust.

出版信息

Br J Nurs. 2021 Nov 25;30(21):1226-1230. doi: 10.12968/bjon.2021.30.21.1226.

DOI:10.12968/bjon.2021.30.21.1226
PMID:34839681
Abstract

Low anterior resection syndrome (LARS) is a collection of symptoms that can occur as a result of a low anterior resection for bowel cancer. Transanal irrigation (TAI) can be used to manage these symptoms. This article describes a retrospective audit of 15 patients who were using TAI to manage symptoms of LARS. The aim of the audit was to ascertain whether the use of TAI improved outcomes for these patients. The data suggest that TAI has reduced both the frequency of bowel movements and episodes of faecal incontinence. Those patients using higher volumes of water seem to have experienced more benefit than those patients using lower volumes of water. These findings are consistent with current literature around TAI for LARS and suggest research into optimum volume of water would be beneficial.

摘要

低位前切除综合征(LARS)是一种因结直肠癌低位前切除而引起的一系列症状。经肛门灌洗(TAI)可用于治疗这些症状。本文描述了对 15 名使用 TAI 治疗 LARS 症状的患者进行的回顾性审核。审核的目的是确定 TAI 是否改善了这些患者的治疗效果。数据表明,TAI 减少了排便次数和粪便失禁发作的频率。使用较高水量的患者似乎比使用较低水量的患者受益更多。这些发现与目前关于 TAI 治疗 LARS 的文献一致,表明对最佳水量的研究将是有益的。

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引用本文的文献

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Tech Coloproctol. 2025 Aug 15;29(1):161. doi: 10.1007/s10151-025-03201-8.
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Research on preventing low anterior resection syndrome following sphincter-preserving surgery for rectal cancer through high-risk screening and pelvic floor biofeedback therapy.通过高危筛查和盆底生物反馈疗法预防直肠癌保肛手术后低位前切除综合征的研究。
Support Care Cancer. 2025 Mar 17;33(4):291. doi: 10.1007/s00520-025-09358-0.
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